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New Hampshire rates for HCPCS 82104

Alpha-1-Antitrypsin Phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $52.78 / $130.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $16.48 / $16.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.79 / $27.99 / $65.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.39 / $11.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $73.81 / $97.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $10.40 / $21.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.63 / $25.70 / $52.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $8.68 / $12.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $17.16 / $23.28