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New Hampshire rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $558.55 / $1,117.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.54 / $949.38 / $2,440.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.94 / $906.94 / $1,723.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $809.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.00 / $500.50 / $637.00