go back

New Hampshire rates for HCPCS J2797

Injection, rolapitant, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.91 / $0.98
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.45