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New Hampshire rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.99 / $649.59 / $1,159.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.90 / $985.93 / $2,534.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.50 / $941.87 / $1,790.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.96 / $579.97 / $579.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.27 / $532.67 / $639.22