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New Hampshire rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $20.48 / $36.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.41 / $30.87 / $79.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $18.16 / $18.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.24 / $56.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $18.16 / $18.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $18.91 / $24.07