go back

New Hampshire rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $19.45 / $34.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.05 / $33.29 / $83.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $18.50 / $18.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.04 / $57.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $19.61 / $31.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $44.89 / $3,000.00