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New Hampshire rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $12.94 / $23.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.54 / $11.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $20.77 / $52.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $18.73 / $35.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.50 / $17.38