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New Hampshire rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $5.23 / $2,018.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.45 / $4.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $8.01 / $19.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $7.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.18 / $4.67