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New Hampshire rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $35.48 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $27.54 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.12 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.23 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $24.55 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.51 / $41.69