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New Hampshire rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.16 / $281.61 / $801.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $77.19 / $77.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.09 / $221.51 / $517.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $74.37 / $74.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.87 / $322.68 / $376.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.75 / $131.75 / $164.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.30 / $203.36 / $407.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $51.46 / $68.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $83.11 / $2,500.00