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New Hampshire rates for HCPCS 81241

F5 Coagulation Factor V Anal Leiden Variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.32 / $146.74 / $449.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $58.21 / $58.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.69 / $142.03 / $365.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $47.69 / $47.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.72 / $300.25 / $326.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $143.30 / $304.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.37 / $106.49 / $241.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $44.02 / $50.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.74 / $69.12 / $98.33