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New Hampshire rates for HCPCS J0364

Injection, apomorphine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.40 / $35.40 / $43.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $52.08 / $142.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $35.40 / $35.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.51 / $109.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $34.72 / $34.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $38.95 / $49.57