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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
$3.55 / $416.87 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.47 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.23 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.79
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.62 / $0.68