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New Hampshire rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $8.84 / $213.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $7.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $8.52 / $8.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.09 / $23.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $14.42 / $33.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.36 / $8.10