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New Hampshire rates for HCPCS J7200

Injection, Factor IX, (antihemophilic factor, recombinant), Rixubis, per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.76 / $3.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.74 / $7.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.69 / $1.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.40 / $4.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.36 / $1.74