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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
$14.45 / $16.22 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.45 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $21.88 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.99 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.22