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New Hampshire rates for HCPCS J1410

Injection, estrogen conjugated, per 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.74 / $437.63 / $1,519.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.30 / $705.71 / $1,778.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $392.06 / $392.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.87 / $392.06 / $392.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.35 / $636.71 / $1,210.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $392.06 / $392.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.83 / $399.18 / $612.29