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New Hampshire rates for HCPCS J7188

Injection Factor Viii (Antihemophilic Factor Recombinant) (Obizur) Per I.U. (Reinstated 01/01/2016) Injection Von Willebrand Factor Complex Human Iu (Del 12/31/06)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.62 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $5.33 / $14.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.38 / $10.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.31 / $4.21