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New Hampshire rates for HCPCS J0130

Injection abciximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.15 / $1,375.15 / $1,692.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.15 / $1,375.15 / $1,375.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.53 / $2,379.40 / $4,410.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.63 / $1,388.63 / $1,388.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.15 / $1,512.67 / $1,925.21