go back

New Hampshire rates for HCPCS G0069

Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.76 / $246.91 / $254.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.27 / $186.27 / $205.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.36 / $191.36 / $191.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.83 / $444.28 / $873.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.18 / $302.47 / $683.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00