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New Hampshire rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.35 / $40.99 / $204.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $26.35 / $26.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.17 / $56.68 / $132.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $19.03 / $22.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.87 / $106.54 / $128.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $17.02 / $42.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.74 / $52.04 / $106.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.57 / $19.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $32.79 / $3,000.00