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New Hampshire rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $36.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $2,500.00 / $3,500.00