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New Hampshire rates for HCPCS 80200

Drug Screen Quantitative Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $58.83 / $112.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $18.37 / $18.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.53 / $31.22 / $72.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $10.48 / $12.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $81.19 / $109.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $11.54 / $23.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $28.67 / $58.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.68 / $13.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $16.18 / $20.59