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New Hampshire rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $34.67 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $81.28 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.90 / $34.67
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $60.26 / $74.13