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New Hampshire rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.21 / $20.39 / $36.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.81 / $32.94 / $83.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.21 / $18.30 / $18.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $18.30 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $29.72 / $56.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $26.70 / $3,000.00