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New Hampshire rates for HCPCS J7638

Dexamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.22 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13