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New Hampshire rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $933.25 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $851.14