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New Hampshire rates for HCPCS J2770

Quinupristin/Dalfopristin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.33 / $475.33 / $584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.33 / $475.33 / $475.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,299.14 / $2,240.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.01 / $475.33 / $475.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.33 / $475.33 / $475.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.33 / $475.33 / $475.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.27 / $802.21 / $1,524.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.01 / $466.01 / $716.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.33 / $522.86 / $665.46