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New Hampshire rates for HCPCS J1427

Injection Viltolarsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $84.60 / $232.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $57.52 / $57.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $93.43 / $177.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $61.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $63.28 / $80.54