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New Hampshire rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.42 / $277.42 / $277.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $89.81 / $103.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.75 / $102.57 / $143.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $151.28 / $228.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.02 / $145.53 / $299.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $136.71 / $233.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $76.09 / $96.85