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New Hampshire rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $46.25 / $88.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $14.44 / $14.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.84 / $24.53 / $57.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $8.23 / $9.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.92 / $63.48 / $86.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $9.08 / $18.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $22.52 / $46.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.60 / $10.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $15.03 / $20.39