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New Hampshire rates for HCPCS 90743

Hepb Vaccine Adolescent 2 Dose Schedule Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $84.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $75.15 / $75.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.57 / $135.27 / $340.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $70.19 / $75.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $80.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.22 / $133.46 / $253.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $72.20 / $86.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $73.80 / $113.20