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New Hampshire rates for HCPCS G0249

Provision Of Test Materials And Equipment For Home Inr Monitoring To Patient With Mechanical Heart Valve(S) Who Meets Medicare Coverage Criteria; Includes Provision Of Materials For Use In The Home And Reporting Of Test Results To Physician; Per 4 Tests.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $122.77 / $122.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $117.59 / $138.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $55.95 / $90.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.49 / $123.73 / $521.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $36.99 / $153.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $65.29 / $139.30