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New Hampshire rates for HCPCS J0480

Injection, basiliximab, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,672.47 / $5,233.17 / $9,344.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,586.26 / $8,436.33 / $21,261.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,672.47 / $4,686.85 / $4,686.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,421.56 / $4,686.85 / $4,686.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,917.43 / $7,611.44 / $14,465.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,011.40 / $4,412.54 / $5,615.96