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New Hampshire rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $6.40 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $9.31 / $24.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $9.16 / $17.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.64 / $5.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $6.73 / $8.57