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New Hampshire rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $18.38 / $67.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $3.06 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.40 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $6.07 / $9.07