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New Hampshire rates for HCPCS J2778

Ranibizumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.11 / $102.04 / $182.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $86.38 / $91.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.86 / $142.60 / $377.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $91.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $86.38 / $86.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.63 / $140.28 / $266.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.70 / $485.16 / $713.19