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New Hampshire rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $223.87 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $316.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $131.83 / $165.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $51.29 / $173.78