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Idaho 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
$1.64 / $1.64 / $12.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.73 / $1.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.08 / $6.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.50