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New Hampshire rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.34 / $2,724.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.56 / $1.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.45 / $0.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.30 / $3,000.00