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New Hampshire rates for HCPCS 80376

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6

Facilitymedian $3 · 10th–90th $1$30%20%40%10th90th$3Professionalmedian $30 · 10th–90th $15$500%10%20%10th90th$30$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.60 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.75 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $20.42 / $50.12