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New Hampshire rates for HCPCS J2792

Injection Rho D Immune Globulin Intravenous Human Solvent Detergent 100 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $34.46 / $61.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.35 / $45.83 / $115.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $30.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $41.35 / $78.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $28.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $20.16 / $25.66