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New Hampshire rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $426.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58