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New Hampshire rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $69.18 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $162.18 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.57 / $64.57
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $83.18 / $102.33