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New Hampshire rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $48.40 / $158.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $6.96 / $6.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.44 / $28.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $6.96 / $6.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.96 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.59 / $21.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.64 / $9.83