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New Hampshire rates for HCPCS J1575

Hyqvia 100mg Immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $20.60 / $36.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $29.96 / $79.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $29.48 / $56.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.32 / $20.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $19.87 / $3,000.00