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New Hampshire rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.17 / $38.27 / $68.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $61.52 / $155.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.18 / $34.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $34.18 / $34.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $55.51 / $105.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $30.10 / $38.29