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New Hampshire rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $488.89 / $873.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $436.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.91 / $777.64 / $1,959.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $436.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.28 / $701.60 / $1,333.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $1,036.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $533.58 / $818.46