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New Hampshire rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $49.03 / $94.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $15.32 / $15.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $26.02 / $60.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $8.73 / $10.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $67.91 / $91.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.65 / $19.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $23.89 / $48.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.06 / $11.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $13.49 / $17.16