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New Hampshire rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.64 / $95.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.13 / $3.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $4.70 / $6.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $132.00 / $195.89