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New Hampshire rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $11.48 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $19.05 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.45 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $14.13