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New Hampshire rates for HCPCS J7999

Compounded drug, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $27.41 / $94.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $112.50 / $187.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $3,750.00