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New Hampshire rates for HCPCS 90694

Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.20 / $69.20 / $82.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $69.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.27 / $131.51 / $350.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $69.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $125.63 / $238.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $88.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $81.78 / $3,000.00