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New Hampshire rates for HCPCS J0172

Injection, aducanumab-avwa, 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $6.70 / $11.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $10.76 / $27.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.98 / $5.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.33 / $8.05