go back

New Hampshire rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $12.76 / $22.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $13.06 / $13.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $19.59 / $53.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $13.06 / $13.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $21.74 / $40.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $31.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $31.41 / $39.97