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New Hampshire rates for HCPCS 83704

Lipoprotein Blood Quan Numbers & Subclasses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.32 / $115.18 / $239.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.05 / $35.96 / $35.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.24 / $66.19 / $154.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.68 / $22.22 / $26.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $159.43 / $213.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $22.70 / $49.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.40 / $60.76 / $121.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $20.51 / $26.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $35.69 / $50.77