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New Hampshire rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $20.53 / $64.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $7.35 / $7.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $11.03 / $30.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.35 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.24 / $22.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $13.81 / $22.14