go back

New Hampshire rates for HCPCS J3357

Ustekinumab, for subcutaneous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.08 / $289.08 / $355.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.27 / $289.08 / $289.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.59 / $467.64 / $707.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.42 / $289.08 / $289.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.08 / $289.08 / $289.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.08 / $289.08 / $289.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.55 / $253.15 / $481.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.35 / $283.42 / $283.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.21 / $136.90 / $206.76