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New Hampshire rates for HCPCS J2793

Rilonacept Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $34.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $40.65 / $111.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $27.64 / $27.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $46.02 / $85.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $27.10 / $27.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $25.50 / $32.45