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New Hampshire rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.13 / $11.35 / $20.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $18.25 / $46.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.14 / $10.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $10.14 / $10.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $16.47 / $31.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $10.57 / $13.45