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New Hampshire rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $28.20 / $28.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.13 / $37.79 / $50.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $44.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $28.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.82 / $153.38 / $225.47