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New Hampshire rates for HCPCS Q4213

Ascent, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $69.18
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $93.33