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New Hampshire rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $10.58 / $18.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.19 / $11.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $16.79 / $46.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.19 / $11.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $11.19 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $18.63 / $34.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $19.23 / $28.35