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New Hampshire rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $17.66 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $17.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.54 / $18.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $4.19 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $7.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $112.49 / $143.16