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New Hampshire rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.15 / $272.33 / $486.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.24 / $640.69 / $1,105.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.15 / $243.61 / $243.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.82 / $243.61 / $243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $405.61 / $802.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.54 / $243.61 / $243.61