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New Hampshire rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.98 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $8.61 / $23.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.32 / $5.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $8.86 / $17.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.38 / $6.85