go back

New Hampshire rates for HCPCS J2783

Injection Rasburicase 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.48 / $421.66 / $752.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.51 / $377.52 / $377.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.97 / $679.54 / $1,712.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.48 / $377.52 / $377.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.15 / $377.52 / $377.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.09 / $613.09 / $1,165.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $420.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.18 / $368.70 / $469.25