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New Hampshire rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $460.49 / $505.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $411.15 / $411.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.88 / $726.36 / $1,867.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $411.14 / $411.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $411.15 / $440.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.32 / $367.75 / $468.05