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New Hampshire rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.58 / $8.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $7.38 / $18.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.83 / $13.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.49 / $5.71