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New Hampshire rates for HCPCS 84252

Riboflavin (Vitamin B-2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $62.91 / $171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $23.07 / $23.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $39.18 / $91.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $13.15 / $15.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $101.86 / $136.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $14.56 / $29.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.47 / $35.97 / $73.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $12.14 / $16.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $24.00 / $32.56