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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
$41.69 / $60.26 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.88 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $31.62 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.72 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $23.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $28.84 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $47.86