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New Hampshire rates for HCPCS J1566

Injection Immune Globulin Intravenous Lyophilized (E.G. Powder) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $91.50 / $163.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $81.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.92 / $130.09 / $344.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $81.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $127.97 / $243.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $88.26 / $88.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $32.63 / $41.52