go back

New Hampshire rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.50 / $26,644.20 / $29,272.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,311.43 / $23,789.46 / $23,789.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,431.68 / $13,132.82 / $41,981.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $39,864.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $24,722.38