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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
$234.42 / $263.03 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $616.60 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $1,905.46
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,288.25