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New Hampshire rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $44.61 / $79.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.47 / $71.69 / $180.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.57 / $39.83 / $39.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $64.68 / $122.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $42.64 / $54.26