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New Hampshire rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Facilitymedian $32 · 10th–90th $22–$560%10%20%10th90th$32Professionalmedian $15 · 10th–90th $15–$290%50%10th90th$15$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $23.99
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $44.67