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New Hampshire rates for HCPCS J9303

Vectibix IV SOLN 100 MG/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.55 / $207.06 / $4,305.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.55 / $173.03 / $193.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.04 / $269.93 / $712.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $173.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $173.03 / $173.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $173.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $289.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $183.41