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New Hampshire rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $22.01 / $23.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.02 / $22.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $39.64 / $99.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $22.02 / $22.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $22.02 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $35.76 / $67.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $28.48 / $36.25