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New Hampshire rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $208.37 / $213.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.46 / $238.46 / $286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.08 / $429.23 / $1,042.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $238.46 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $399.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $2,016.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.54 / $2,010.88 / $3,311.83