go back

New Hampshire rates for HCPCS J9181

Etoposide 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.56 / $14.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.94 / $1.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.41 / $1.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.01 / $1.55