go back

New Hampshire rates for HCPCS Q4171

Interfyl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $12.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $12.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $10.09 / $10.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $14.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $24.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $36.47 / $46.41