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New Hampshire rates for HCPCS J0894

Injection, decitabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.91 / $1.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $2.20 / $5.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.22 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $10.71 / $38.47