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New Hampshire rates for HCPCS J1000

Injection, depo-estradiol cypionate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $52.54 / $93.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.91 / $73.92 / $202.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $49.28 / $49.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.49 / $49.28 / $49.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $49.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $82.05 / $152.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $49.28 / $118.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $29.88 / $45.83