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New Hampshire rates for HCPCS J3398

Injection, voretigene neparvovec-rzyl, 1 billion vector genomes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,106.75 / $3,106.75 / $3,822.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.75 / $3,106.75 / $3,106.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,106.75 / $3,106.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,259.60 / $5,045.35 / $9,588.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $7,309.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.00 / $3,179.00 / $4,046.00