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New Hampshire rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.83 / $82.57 / $365.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.58 / $82.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.72 / $123.87 / $339.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $82.58 / $82.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.63 / $136.94 / $253.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.47 / $92.96 / $135.88