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New Hampshire rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $70.79 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.50 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $54.95 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $107.15 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.42 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $48.98 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.98 / $79.43