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New Hampshire rates for HCPCS J9039

Injection, blinatumomab, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $181.97 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $426.58 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $162.18 / $173.78