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New Hampshire rates for HCPCS 80369

Skeletal muscle relaxants; 1 or 2

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $16.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.72 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.46 / $27.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.12 / $23.73 / $47.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $15.12 / $20.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00