go back

New Hampshire rates for HCPCS J9306

Injection, pertuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $20.27 / $5,527.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $17.02 / $18.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $26.55 / $70.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $17.02 / $17.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $28.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $18.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $13.78 / $18.01