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New Hampshire rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $50.25 / $96.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $15.69 / $15.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $26.64 / $62.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.94 / $10.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.38 / $69.38 / $92.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $9.94 / $20.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $24.45 / $50.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.26 / $11.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.32 / $22.14