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New Hampshire rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Facilitymedian $2 · 10th–90th $2–$50%10%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%50%10th90th$2$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.09 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.89 / $6.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.72 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.86 / $2.00
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.78 / $1.91