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New Hampshire rates for HCPCS 49501

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,040.41 / $3,313.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.94 / $604.16 / $1,075.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.00 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.09 / $1,072.84 / $1,716.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.46 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.51 / $1,132.54 / $1,834.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.68 / $1,184.35 / $2,113.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.00 / $4,487.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.68 / $1,030.43 / $1,766.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.72 / $525.49 / $668.81