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New Hampshire rates for HCPCS J0695

Injection Ceftolozane 50 Mg And Tazobactam 25 Mg (Reinstated 01/01/2016) Injection Cefonicid Sodium 1 Gram (Del 12/31/01)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $10.23 / $18.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $16.32 / $41.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $14.73 / $27.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $7.02 / $8.93