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New Hampshire rates for HCPCS J0222

Injection, patisiran, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $112.20 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $147.91 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $151.36