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New Hampshire rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $35.11 / $62.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $36.69 / $36.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.86 / $55.04 / $151.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $36.69 / $36.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $36.69 / $36.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $61.09 / $113.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $87.66 / $111.57