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New Hampshire rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.60 / $203.72 / $203.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.97 / $242.20 / $398.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.70 / $408.56 / $635.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $359.80 / $671.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.02 / $258.77 / $1,310.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $165.22 / $210.28