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New Hampshire rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $6.84 / $157.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.19 / $3.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.32 / $2.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.79 / $2.75