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New Hampshire rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.76 / $202.57 / $414.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $366.87 / $366.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.25 / $362.25 / $362.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.31 / $221.62 / $267.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.50 / $325.05 / $413.70