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New Hampshire rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $39.81 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.57 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.98 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $3.39