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New Hampshire rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $15.81 / $28.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $23.67 / $62.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.34 / $14.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $23.29 / $44.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $16.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $14.65 / $21.54