go back

New Hampshire rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $8.32 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $19.50 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $19.50
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $48.98 / $60.26