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New Hampshire rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,279.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.61 / $1,478.57 / $2,039.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.97 / $668.62 / $1,270.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,019.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.87 / $939.84 / $1,441.63