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New Hampshire rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,173.38 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.00 / $6,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.46 / $5,257.46 / $5,441.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.00 / $4,487.00 / $9,949.00