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New Hampshire rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.09 / $21.44 / $130.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $15.10 / $15.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $36.08 / $84.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $12.11 / $14.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $68.23 / $81.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $10.44 / $26.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.30 / $33.13 / $66.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $18.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $16.52 / $3,500.00