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New Hampshire rates for HCPCS J3090

Injection, tedizolid phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.19 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.95 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $5.13 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.95 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.24 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.02