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New Hampshire rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $17.51 / $44.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.63 / $7.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.75 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.91 / $5.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.29 / $3.79