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New Hampshire rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Facilitymedian $26 · 10th–90th $5–$630%5%10%10th90th$26Professionalmedian $4 · 10th–90th $4–$70%20%40%10th90th$4$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $31.62 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.41 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $7.08