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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
$8.71 / $10.45 / $147.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $13.53 / $37.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.02 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $15.02 / $27.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $12.89 / $16.41