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New Hampshire rates for HCPCS 85055

Reticulated Platelet Assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $226.23 / $295.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.53 / $12.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.79 / $69.19 / $161.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $23.23 / $27.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.54 / $149.00 / $180.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $19.29 / $51.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $63.52 / $127.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $21.44 / $21.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $30.37 / $46.59