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New Hampshire rates for HCPCS J9354

Injection Ado-Trastuzumab Emtansine 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $50.22 / $51.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.16 / $46.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $65.77 / $173.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.77 / $42.16 / $42.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $70.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $44.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $39.38 / $51.46