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New Hampshire rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.78 / $27.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.39 / $9.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.25 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.76 / $6.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $10.71 / $20.18