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New Hampshire rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $134.90 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $177.83 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $269.15