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New Hampshire rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $94.92 / $269.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $15.63 / $15.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.45 / $74.66 / $174.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $25.07 / $29.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $157.96 / $166.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $20.01 / $55.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.35 / $68.55 / $137.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $23.14 / $23.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $32.78 / $50.27