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New Hampshire rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $47.50 / $57.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $72.50 / $141.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $46.75 / $59.50