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New Hampshire rates for HCPCS Q4081

Injection, epoetin alfa, 100 units (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $0.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.14 / $1.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.95 / $2.98