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New Hampshire rates for HCPCS 96369

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $173.78 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $398.11 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $562.34