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New Hampshire rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $69.59 / $76.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $62.13 / $62.13
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
$62.13 / $62.13 / $62.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.58 / $76.58 / $96.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $73.09 / $77.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $68.34 / $86.98