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New Hampshire rates for HCPCS J3240

Thyrotropin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $2,366.83 / $4,226.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,522.44 / $3,809.38 / $9,600.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.23 / $2,116.32 / $2,116.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $2,116.32 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.03 / $3,219.56 / $6,118.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.74 / $1,264.08 / $1,858.80