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New Hampshire rates for HCPCS 96365

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $74.29 / $77.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $145.01 / $266.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $122.99 / $152.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $117.79 / $841.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.90 / $115.92 / $244.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $66.84 / $100.95