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New Hampshire rates for HCPCS J0584

Injection Burosumab-Twza 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.57 / $539.36 / $963.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.90 / $799.27 / $2,116.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.57 / $484.14 / $484.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.73 / $484.14 / $484.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.46 / $773.09 / $1,469.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.86 / $435.45 / $554.20