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New Hampshire rates for HCPCS J8670

Rolapitant, oral, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.87 / $1.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.86 / $1.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3.35 / $8.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $5.17 / $3,375.00