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New Hampshire rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $54.95 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $26.30 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.71 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.77 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $23.44 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $39.81