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New Hampshire rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $306.11 / $313.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.09 / $256.08 / $266.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $460.96 / $1,119.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $256.08 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $429.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.79 / $256.08 / $271.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.14 / $287.89 / $3,375.00