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New Hampshire rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $8.30 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.34 / $10.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $15.51 / $42.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $10.34 / $10.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $17.22 / $31.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $24.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $10.66 / $16.35