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New Hampshire rates for HCPCS J0485

Belatacept Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.36 / $7.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $6.61 / $17.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $6.28 / $11.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.72 / $6.72