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New Hampshire rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $4.76 / $44.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.72 / $3.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.81 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.33 / $3.42