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New Hampshire rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.74 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.83 / $0.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.25 / $3.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.38 / $2.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.64 / $0.98