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New Hampshire rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $23.43 / $142.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $5.18 / $5.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.51 / $39.43 / $92.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $13.24 / $15.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $76.98 / $88.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $10.53 / $29.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.65 / $36.20 / $72.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $12.22 / $12.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $16.55 / $21.07