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New Hampshire rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.53 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.03 / $1.32