go back

New Hampshire rates for HCPCS J3000

Injection, streptomycin, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $38.02 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $70.79 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $67.61 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $51.29