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New Hampshire rates for HCPCS J0291

Injection, plazomicin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $4.00 / $7.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $6.30 / $15.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $5.68 / $10.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.53 / $4.49