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New Hampshire rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $32.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.13 / $44.32 / $82.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62