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New Hampshire rates for HCPCS J9348

Injection, naxitamab-gqgk, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $823.09 / $844.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.91 / $686.00 / $713.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.11 / $1,234.80 / $2,998.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $686.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.16 / $686.00 / $686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $686.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $1,149.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $727.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.57 / $591.33 / $752.60