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New Hampshire rates for HCPCS J8610

Methotrexate; Oral 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.30 / $1.65