go back

New Hampshire rates for HCPCS J9319

Injection, romidepsin, lyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $37.29 / $38.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $32.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $55.40 / $134.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $31.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.03 / $30.78 / $30.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $30.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $51.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $30.78 / $32.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.54 / $45.25