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New Hampshire rates for HCPCS J0712

Injection, ceftaroline fosamil, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.79 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $11.22 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $7.08 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $6.46