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New Hampshire rates for HCPCS 90296

Diphtheria Antitoxin Equine Any Route

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $2.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $23.66 / $43.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00