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New Hampshire rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.78 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.85 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.89