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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
$501.19 / $562.34 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $724.44