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New Hampshire rates for HCPCS J3315

Triptorelin Pamoate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.90 / $550.92 / $983.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $474.84 / $474.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.92 / $807.23 / $2,075.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $491.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $474.84 / $474.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.20 / $771.14 / $1,465.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $503.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.51 / $912.46 / $1,161.31