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New Hampshire rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $77.18 / $527.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.79 / $14.79 / $40.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.86 / $9.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $16.42 / $30.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $62.25 / $95.49