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New Hampshire rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.69 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.36 / $10.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.42 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.93 / $7.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.23 / $2.72