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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
$1.57 / $1.75 / $89.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.75 / $2.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.63 / $3.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $3.50 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.75 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $10.91 / $15.40