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New Hampshire rates for HCPCS J2690

Injection Procainamide Hcl Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.32 / $217.64 / $388.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $294.69 / $294.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.24 / $530.44 / $1,336.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.32 / $294.69 / $294.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.01 / $294.69 / $294.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.95 / $490.66 / $909.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $218.63 / $335.35