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New Hampshire rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $94.15 / $156.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $79.00 / $87.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.16 / $123.24 / $325.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $79.00 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $132.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $86.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $59.66 / $75.94