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New Hampshire rates for HCPCS J1300

Eculizumab Injection

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.54 / $707.45 / $1,016.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.95 / $221.86 / $335.07