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New Hampshire rates for HCPCS J0698

Injection Cefotaxime Sodium Per Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $14.70 / $40.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $9.99 / $9.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.63 / $8.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $9.80 / $9.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.00 / $14.00