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New Hampshire rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $35.52 / $36.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $35.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $42.98 / $104.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $24.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $23.88 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $40.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $25.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.70 / $45.87 / $58.38