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New Hampshire rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $134.90 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $724.44 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $380.19