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New Hampshire rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $6,584.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,252.83 / $9,442.98 / $22,101.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,614.29 / $8,690.06 / $16,515.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $5,246.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,096.22 / $5,605.84 / $7,134.71