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New Hampshire rates for HCPCS 83864

Mucopolysaccharides Acid Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $71.33 / $199.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $22.28 / $22.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $55.17 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $18.52 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.04 / $118.90 / $135.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $14.74 / $40.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.68 / $50.65 / $101.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $17.10 / $27.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $23.17 / $29.48