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New Hampshire rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.56 / $4.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.78 / $7.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.08 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.79 / $3.84