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New Hampshire rates for HCPCS J0770

Injection, colistimethate sodium, up to 150 mg

Facilitymedian $18 · 10th–90th $12–$380%10%10th90th$18Professionalmedian $12 · 10th–90th $12–$260%50%90th$12$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $28.18 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.12 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $28.84