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New Hampshire rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.10 / $20,102.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $32.54 / $82.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $18.07 / $18.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $29.36 / $55.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $18.27 / $3,500.00