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New Hampshire rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $22.36 / $27.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $22.36
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
$21.05 / $21.05 / $21.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $35.04 / $64.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $50.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $24.60 / $31.30