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New Hampshire rates for HCPCS J9206

Injection, irinotecan, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $3.55 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.72 / $6.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $3.89
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.13 / $10.00