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New Hampshire rates for HCPCS J7191

Factor Viii (Antihemophilic Factor (Porcine)) Per I.U. (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.10 / $6.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.06 / $2.62