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New Hampshire rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $537 · 10th–90th $363–$1,0230%10%20%10th90th$537Professionalmedian $417 · 10th–90th $257–$4790%50%10th90th$417$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $467.74 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $676.08 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $512.86 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $416.87 / $416.87