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New Hampshire rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $31.64 / $95.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $7.17 / $19.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.96 / $14.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $6.53 / $9.30