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New Hampshire rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $27.03 / $48.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.30 / $39.61 / $104.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $24.00 / $24.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $38.97 / $74.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $12.39 / $18.72