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New Hampshire rates for HCPCS J9055

Injection, cetuximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $102.33 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $120.23 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $87.10
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $123.03 / $144.54