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New Hampshire rates for HCPCS J7194

Factor IX complex, per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.90 / $3.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.76 / $7.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.04 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.52 / $1.93