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New Hampshire rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.27 / $76.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $5.26 / $13.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.86 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $5.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.24 / $4.84