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New Hampshire rates for HCPCS 83661

Fetal Lung Maturity Lecithin Sphingomyelin Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.29 / $80.23 / $153.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $25.06 / $25.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.17 / $42.57 / $99.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $14.29 / $16.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $110.72 / $148.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $15.89 / $31.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $39.08 / $80.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $13.19 / $18.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $22.06 / $28.07