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New Hampshire rates for HCPCS J7192

Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.72 / $3.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.61 / $7.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.61 / $1.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.61 / $1.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.15 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.00 / $2.56