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New Hampshire rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.85 / $71.55 / $273.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $22.35 / $22.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.16 / $75.50 / $176.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $25.35 / $29.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.98 / $154.41 / $167.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $20.19 / $56.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.93 / $69.31 / $138.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $23.40 / $27.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $31.70 / $40.35