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New Hampshire rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.33 / $87.77 / $250.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $192.08 / $568.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $47.60 / $69.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.49 / $203.52 / $386.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.11 / $237.81 / $432.27