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New Hampshire rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $896.17 / $1,600.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $800.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.73 / $1,194.14 / $3,276.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $800.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $796.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $1,325.49 / $2,622.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.15 / $459.97 / $585.41