go back

New Hampshire rates for HCPCS J2941

Somatropin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.56 / $158.56 / $195.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.56 / $158.56 / $158.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.53 / $204.39 / $279.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $158.55 / $158.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.56 / $158.56 / $158.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.56 / $158.56 / $158.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $264.00 / $489.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.13 / $155.44 / $155.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.84 / $170.32 / $216.78