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New Hampshire rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $49.59 / $141.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $20.44 / $20.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $39.01 / $91.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.09 / $15.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $90.08 / $97.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $13.24 / $28.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.35 / $35.81 / $71.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.09 / $15.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $20.92 / $29.76