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New Hampshire rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $9.58 / $9.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $14.18 / $34.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $7.88 / $7.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $13.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $12.89 / $25.92