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New Hampshire rates for HCPCS 90375

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $416.87 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $741.31 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $346.74 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $831.76