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New Hampshire rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $195.85 / $200.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.21 / $164.25 / $182.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.36 / $295.64 / $717.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $164.25 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $275.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $174.11