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New Hampshire rates for HCPCS Q2035

Influenza Virus Vaccine Split Virus When Administered To Individuals 3 Years Of Age Or Older For Intramuscular Use (Afluria)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $19.20 / $23.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $19.20 / $19.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $47.97 / $82.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $29.62 / $56.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $25.74 / $29.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $19.05 / $28.79