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New Hampshire rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $9.41 / $73.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $8.40 / $23.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.60 / $5.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.60 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.32 / $17.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $17.22 / $25.75