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New Hampshire rates for HCPCS J0882

Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.60 / $3.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.15 / $8.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.93 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $4.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.12 / $6.23