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New Hampshire rates for HCPCS J3246

Injection Tirofiban Hcl 0.25 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.84 / $6.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $6.26 / $15.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.48 / $3.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.48 / $3.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.65 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.24 / $11.82