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New Hampshire rates for HCPCS 85290

Clotting Factor Xiii Fibrin Stabilizing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.79 / $59.65 / $114.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $18.63 / $18.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $31.63 / $73.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $10.62 / $12.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $82.67 / $110.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $11.73 / $23.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $29.04 / $59.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $9.80 / $13.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $19.38 / $26.28