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New Hampshire rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $72.44 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $169.82 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $141.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $181.97 / $229.09