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New Hampshire rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $15.92 / $28.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $25.61 / $64.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.23 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $14.23 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $23.11 / $43.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.94 / $15.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $2,920.00 / $3,000.00