go back

New Hampshire rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.75 / $2.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.51 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.56 / $0.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.53 / $0.67