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New Hampshire rates for HCPCS 86305

Human epididymis protein 4 (HE4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $50.12 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $40.74 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.49 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $79.43 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.79 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $36.31 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $61.66