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Illinois 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 / $2.75 / $26.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.63 / $2.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $14.19 / $38.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.97 / $19.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.83