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New Hampshire rates for HCPCS J9358

Injection Fam-Trastuzumab Deruxtecan-Nxki 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $30.00 / $36.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $33.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.84 / $53.96 / $131.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $29.98 / $29.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $50.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $31.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $34.03 / $3,375.00