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New Hampshire rates for HCPCS 90686

Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $20.43 / $69.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.59 / $38.00 / $101.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.45 / $36.29 / $68.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $22.35 / $25.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $25.28 / $3,000.00