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New Hampshire rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $80.53 / $99.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $80.53 / $80.53
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
$82.11 / $82.11 / $82.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.69 / $83.69 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.69 / $83.69 / $83.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.74 / $94.74 / $94.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $88.58 / $112.74