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New Hampshire rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $156.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $130.69 / $130.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.97 / $59.97 / $59.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $243.38 / $403.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $130.69