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New Hampshire rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $43.51 / $44.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.28 / $40.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.37 / $65.30 / $158.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $60.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $38.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $42.66 / $3,375.00