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New Hampshire rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.69 / $1.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.95 / $2.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $0.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.05 / $1.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.27 / $5.99