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New Hampshire rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $109.19 / $237.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.78 / $197.76 / $197.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $195.27 / $195.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $128.00 / $195.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.29 / $175.22 / $223.01