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Indiana 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
$1.59 / $3.98 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.59 / $1.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $3.14 / $4.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.57 / $2.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.96
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 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.67