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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
$4.24 / $4.75 / $8.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $7.61 / $19.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $4.23 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.87 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $6.52 / $10.00