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New Hampshire rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $17.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.72 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $11.36 / $12.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.81 / $118.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $15.12 / $20.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00