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New Hampshire rates for HCPCS 90644

Hib-Mency Vacc 4 Dose Sched 6 Wks-18 Months Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $24.95 / $27.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $27.68 / $27.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $40.52 / $77.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $29.35 / $33.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $27.45 / $34.93