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New Hampshire rates for HCPCS Q4118

Matristem Micromatrix 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $2.56 / $3.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $6.10