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New Hampshire rates for HCPCS J7195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.11 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.00 / $8.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.54 / $5.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.67 / $2.13