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New Hampshire rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.04 / $10.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $9.83 / $24.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.46 / $5.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $8.86 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $5.39 / $6.75