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New Hampshire rates for HCPCS J7211

Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.77 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.67 / $6.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.61 / $5.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.15 / $2.73