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New Hampshire rates for HCPCS Q2039

Influenza Virus Vaccine Not Otherwise Specified (Desc Rvsd 1/1/17) Older For Intramuscular Use (Not Otherwise Specified)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $19.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $32.38 / $37.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $17.32 / $25.45