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New Hampshire rates for HCPCS J1095

Injection, dexamethasone 9%

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.73 / $4.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.17 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.90 / $3.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.29 / $1.64