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New Hampshire rates for HCPCS Q9992

Injection Buprenorphine Extended-Release (Sublocade) Greater Than 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $3,953.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.37 / $3,629.56 / $9,147.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.55 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.63 / $3,274.67 / $6,223.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.63 / $2,275.19 / $3,290.97