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New Hampshire rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $640.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.29 / $918.90 / $2,449.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $520.71 / $520.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.33 / $845.63 / $1,607.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $572.78 / $728.99