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New Hampshire rates for HCPCS J2440

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $42.84 / $126.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $56.25 / $154.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $38.25 / $38.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.13 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $43.99 / $67.47