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New Hampshire rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $118.17 / $145.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.74 / $211.03 / $546.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $119.57 / $119.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.46 / $194.20 / $369.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.85 / $108.74 / $138.38