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New Hampshire rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $4.58 / $7.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $5.18 / $6.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.45 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.58 / $6.74