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New Hampshire rates for HCPCS 84376

Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $19.95 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.72 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.55 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $20.89 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.98 / $7.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.55 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.31 / $16.22