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New Hampshire rates for HCPCS 86965

Pooling of platelets or other blood products

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $19.21 / $27.53
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
$13.82 / $13.82 / $13.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $99.35 / $144.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $24.35 / $85.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $26.29 / $73.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $21.21 / $29.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $27.04 / $40.84