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New Hampshire rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.08 / $16.89 / $30.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $27.20 / $68.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $15.11 / $15.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $15.11 / $15.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $24.54 / $46.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $7.81 / $11.80