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New Hampshire rates for HCPCS 85220

Clotting; factor V (AcG or proaccelerin), labile factor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $59.13 / $123.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $20.11 / $20.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.03 / $34.17 / $79.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $11.47 / $13.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $90.05 / $118.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $12.67 / $25.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $31.37 / $64.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.59 / $14.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $20.93 / $28.40