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New Hampshire rates for HCPCS J9269

Injection, tagraxofusp-erzs, 10 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.62 / $418.34 / $428.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.62 / $356.93 / $371.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.71 / $642.47 / $1,560.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.73 / $356.93 / $356.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $598.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $378.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.30 / $330.33 / $420.42