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New Hampshire rates for HCPCS J9065

Inj Cladribine Per 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $11.68 / $11.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $12.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.77 / $19.22 / $46.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.68 / $10.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $17.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $11.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.46 / $62.95 / $92.54