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New Hampshire rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $4,075.52 / $7,277.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,660.83 / $3,660.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,316.85 / $6,223.41 / $16,000.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.86 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,840.94 / $5,945.19 / $11,299.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.59 / $3,660.83 / $3,660.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,320.13 / $3,652.14 / $4,648.18