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New Hampshire rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.45 / $1,245.94 / $1,368.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $1,112.45 / $1,112.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.45 / $1,112.45 / $1,112.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.49 / $1,344.49 / $1,736.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,308.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.67 / $1,080.94 / $1,375.74