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New Hampshire rates for HCPCS Q4145

EpiFix, injectable, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.12 / $25.12
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $40.74