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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 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $6.31 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.07 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.72