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Louisiana 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 / $1.72 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.62 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.64 / $5.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.28