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New Hampshire rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $95.50 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $24.55 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.60 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $97.72 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $44.67 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $75.86