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New Hampshire rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.08 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $3.02 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.23 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.18 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17