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New Hampshire rates for HCPCS J0520

Injection, bethanechol chloride, Myotonachol or Urecholine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $7.48 / $13.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.26 / $6.69