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New Hampshire rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $227.70 / $850.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $24.37 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $18.51 / $27.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.07 / $17.38 / $34.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $16.59 / $33.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00