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New Hampshire rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $22.31 / $61.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $15.17 / $15.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $24.64 / $46.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $23.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $14.97 / $19.05