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New Hampshire rates for HCPCS J1745

Injection, infliximab, excludes biosimilar, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $31.18 / $20,537.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $31.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $52.85 / $135.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $34.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $31.09 / $31.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $50.49 / $95.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $74.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.67 / $70.86 / $107.02