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New Hampshire rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $10.10 / $18.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $13.52 / $37.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $15.00 / $27.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $14.62 / $18.61