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New Hampshire rates for HCPCS J7193

Factor IX (antihemophilic factor, purified, nonrecombinant) per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.50 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $2.27 / $6.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.40 / $1.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.40 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.86 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.55 / $1.97