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New Hampshire rates for HCPCS J1602

Injection Golimumab 1 Mg For Intravenous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $12.35 / $14,955.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.04 / $11.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $18.77 / $48.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.04 / $11.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $11.04 / $11.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $17.93 / $34.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.90 / $71.94