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New Hampshire rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $212.52 / $379.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.94 / $348.77 / $878.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.75 / $193.76 / $193.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $193.76 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.29 / $314.67 / $598.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $387.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.75 / $182.33 / $232.05