go back

New Hampshire rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $45.71 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $56.23 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $91.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $51.29 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.38 / $72.44