go back

New Hampshire rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.71 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $3.94 / $10.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.43 / $2.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.86 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.43 / $2.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.67 / $3.40