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New Hampshire rates for HCPCS J1730

Injection, diazoxide, up to 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.01 / $110.01 / $135.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $110.01 / $110.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.85 / $111.85 / $111.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.34 / $181.63 / $345.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $129.41 / $129.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $121.01 / $154.01