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New Hampshire rates for HCPCS J1439

Inj Ferric Carboxymaltos 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.28 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.00 / $5.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.11 / $1.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.80 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.43 / $2.00