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New Hampshire rates for HCPCS J9266

Pegaspargase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,424.10 / $34,108.90 / $34,975.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $29,561.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,517.65 / $44,341.53 / $116,987.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,815.15 / $28,424.06 / $28,424.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $28,424.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $47,630.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,424.06 / $28,424.06 / $30,129.50