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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
$2.85 / $8.14 / $36.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.90 / $2.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.34 / $11.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.83 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.88 / $4.36