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New Hampshire rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.36 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.09 / $5.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.23 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.00 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.57 / $3,375.00