go back

New Hampshire rates for HCPCS 80364

Opioids and opiate analogs; 5 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.94 / $58.94 / $58.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $10.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $32.63 / $40.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $28.31 / $56.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00