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New Hampshire rates for HCPCS J1628

Injection Guselkumab 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $83.84 / $149.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.55 / $136.75 / $344.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $75.97 / $75.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $75.97 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $123.38 / $234.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.35 / $141.19 / $179.69