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New Hampshire rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $211.34 / $473.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $211.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.85 / $310.98 / $853.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $211.47 / $211.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.74 / $343.22 / $652.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $248.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $200.18 / $324.61