go back

New Hampshire rates for HCPCS J1960

Levorphanol Tartrate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.28 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.97 / $3.78