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New Hampshire rates for HCPCS J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.75 / $90.44 / $161.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.44 / $145.63 / $367.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $80.91 / $80.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.33 / $80.91 / $80.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.89 / $131.40 / $249.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.97 / $81.72 / $3,500.00