go back

New Hampshire rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $8.03 / $53.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $9.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $11.45 / $15.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.63 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $13.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $10.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $9.61 / $14.75