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New Hampshire rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $556.09 / $993.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.76 / $844.46 / $2,171.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.74 / $496.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.17 / $806.71 / $1,533.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $556.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.59 / $509.95 / $649.03