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New Hampshire rates for HCPCS J2805

Sincalide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.54 / $167.03 / $301.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.35 / $123.36 / $134.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.47 / $185.04 / $507.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $123.36 / $135.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.38 / $123.36 / $123.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $123.36 / $123.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.42 / $205.39 / $380.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $123.36 / $123.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $118.67 / $182.03