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New Hampshire rates for HCPCS J1453

Injection Fosaprepitant 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $683.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11