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New Hampshire rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.34 / $6.79