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Iowa rates for HCPCS J0713

Injection Ceftazidime Per 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $5.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.97 / $5.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.92 / $2.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.84 / $12.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.24 / $3.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.98 / $3.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.43 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64