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New Hampshire rates for HCPCS J9176

Injection, elotuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $9.46 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.89 / $8.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $12.31 / $32.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $7.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $7.89 / $7.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $7.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $13.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $8.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $6.85 / $8.72