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New Hampshire rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $419.98 / $503.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.97 / $440.98 / $440.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.85 / $648.50 / $864.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.33 / $440.98 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $582.09 / $639.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.01 / $391.61 / $498.41