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New Hampshire rates for HCPCS J1750

Injection, iron dextran, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $21.64 / $1,072.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.11 / $18.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.59 / $32.60 / $82.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.11 / $18.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $18.11 / $18.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $29.41 / $55.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $43.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $14.12 / $22.29