go back

New Hampshire rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $183.47 / $225.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.41 / $183.48 / $205.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.36 / $286.23 / $755.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $183.48 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $307.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.10 / $183.48 / $194.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.80 / $192.96 / $283.64