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New Hampshire rates for HCPCS J0178

Injection, aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.04 / $884.85 / $1,580.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.55 / $771.56 / $790.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $1,388.81 / $3,500.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $790.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.88 / $771.56 / $771.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.52 / $1,253.01 / $2,381.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.55 / $1,215.82 / $1,729.60