go back

New Hampshire rates for HCPCS Q2049

Injection Doxorubicin Hydrochloride Liposomal Imported Lipodox 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.26 / $489.26 / $587.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.16 / $489.26 / $489.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,337.17 / $2,306.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.35 / $503.35 / $503.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $851.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $575.60 / $610.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.26 / $538.19 / $684.96