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New Hampshire rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $81.28 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.30 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $51.29 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.77 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $23.99 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $30.20