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New Hampshire rates for HCPCS J9071

cycloPHOSphamide IV SOLN 1 GM/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.94 / $898.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $3.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.12 / $2.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.34 / $3,500.00