go back

New Hampshire rates for HCPCS 86652

Antibody; encephalitis, Eastern equine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $47.86 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.00 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.70 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.51 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $50.12 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $19.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $22.91 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.94 / $38.90