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New Hampshire rates for HCPCS 85475

Hemolysin Acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $32.38 / $62.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $10.11 / $10.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.59 / $17.17 / $40.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.76 / $6.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $44.29 / $60.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $6.43 / $12.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $15.76 / $32.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $5.32 / $7.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.90 / $11.33