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New Hampshire rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $58.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.37 / $272.66 / $581.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $42.05 / $72.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $329.32 / $453.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $50.20 / $105.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.05 / $141.47 / $474.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $64.53 / $65.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00