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New Hampshire rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $553.76 / $988.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.65 / $891.99 / $2,248.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $495.55 / $495.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.92 / $804.77 / $1,529.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.77 / $495.55 / $495.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.40 / $489.94 / $623.55