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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
$15.14 / $16.98 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $39.81 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.12 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $22.91