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New Hampshire rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $8.67 / $15.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $9.21 / $25.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $10.22 / $18.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.25 / $14.32