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New Hampshire rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.67 / $18.17 / $21.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $27.26 / $74.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.17 / $18.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $30.25 / $56.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $31.52 / $51.12