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New Hampshire rates for HCPCS 90378

Respiratory Syncytial Virus Ig Im 50 Mg E

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,265.12 / $9,265.12 / $9,265.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $1,857.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.69 / $2,591.53 / $3,628.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.66 / $1,857.07 / $1,857.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.14 / $2,854.44 / $5,425.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $1,875.28 / $2,156.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.85 / $1,826.94 / $2,325.19