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New Hampshire rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.48 / $1.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.29 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $1.20 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $1.07 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $1.48