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New Hampshire rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $67.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.56 / $81.00 / $222.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $55.08 / $55.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $59.04 / $109.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $34.79 / $53.38