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New Hampshire rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,928.84 / $3,003.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,527.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.33 / $3,790.63 / $10,000.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,440.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,071.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,575.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.20 / $2,399.50 / $3,375.00