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New Hampshire rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $93.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.06 / $111.75 / $306.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $75.98 / $75.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $123.41 / $234.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $83.59 / $106.39