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New Hampshire rates for HCPCS J2543

Injection Piperacillin Sodium/Tazobactam Sodium 1 Gram/0.125 Grams (1.125 Grams) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $34.72 / $94.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.61 / $4.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.78 / $3.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.21 / $7.39