go back

New Hampshire rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $354.08 / $435.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $967.73 / $1,669.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $389.49 / $495.71