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New Hampshire rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $17.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $20.46 / $56.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.91 / $13.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $23.16 / $42.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $15.30 / $19.47