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New Hampshire rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.06 / $187.11 / $334.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.03 / $289.82 / $745.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $170.48 / $170.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.83 / $170.48 / $170.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.87 / $276.86 / $526.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.06 / $470.87 / $599.28