go back

New Hampshire rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $93.18 / $178.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $29.10 / $29.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $49.42 / $115.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $16.59 / $19.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.23 / $129.91 / $172.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $18.35 / $36.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $45.37 / $93.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.32 / $25.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.29 / $30.28 / $41.08