go back

New Hampshire rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $8.43 / $15.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.74 / $10.97 / $30.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $12.17 / $22.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $12.51 / $19.19