go back

New Hampshire rates for HCPCS J9216

Injection, interferon, gamma 1-b, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,628.84 / $9,664.29 / $10,617.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,004.59 / $8,628.84 / $8,628.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,113.52 / $12,689.49 / $16,919.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $8,628.84 / $8,628.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $8,628.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $8,628.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $14,459.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $8,459.66 / $8,967.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,693.17 / $8,462.49 / $10,000.00