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New Hampshire rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $11.02 / $11.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $8.97 / $8.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.97 / $12.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.12 / $15.43