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New Hampshire rates for HCPCS J0879

Injection, difelikefalin, 0.1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.27 / $0.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.39 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.28 / $3,500.00