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New Hampshire rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $188.31 / $592.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $168.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.08 / $279.80 / $719.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $168.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $164.59 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.69 / $267.29 / $508.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.12 / $250.34 / $3,000.00