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New Hampshire rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $98.29 / $39,856.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $82.08 / $91.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.13 / $147.74 / $358.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $137.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $87.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $74.90 / $95.33