go back

New Hampshire rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.70 / $3.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.58 / $6.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.24 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.50 / $1.90