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New Hampshire rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $17.78 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.75 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $37.15 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $47.86