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New Hampshire rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $581.86 / $1,039.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $519.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.63 / $916.13 / $2,308.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $519.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.00 / $826.55 / $1,570.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $737.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.14 / $494.05 / $628.79