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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
$2.18 / $39.64 / $407.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $3.03 / $8.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.36 / $6.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.48 / $8.18