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New Hampshire rates for HCPCS J0224

Oxlumo SC SOLN 94.5 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.10 / $368.59 / $658.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.19 / $592.29 / $1,492.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $329.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.24 / $534.38 / $1,015.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.73 / $336.30 / $428.02