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New Hampshire rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $7.24 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.17 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.41 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.09