go back

New Hampshire rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $64.57 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $85.11 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $87.10