go back

New Hampshire rates for HCPCS J9175

Injection Elliotts B Solution 1 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $11.65 / $12.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.40 / $10.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $15.30 / $20.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.40 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $18.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.88 / $13.85