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New Hampshire rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $79 · 10th–90th $59–$1170%10%20%10th90th$79Professionalmedian $56 · 10th–90th $56–$1020%50%90th$56$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $109.65 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $56.23 / $85.11