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New Hampshire rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $34.40 / $37.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $30.72 / $30.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.86 / $45.00 / $60.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.71 / $30.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $53.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.72 / $31.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $33.79 / $43.01