go back

New Hampshire rates for HCPCS J0692

Cefepime Hcl For Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $5.96 / $56.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.83 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.22 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.02 / $3.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.13 / $10.92