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Maine 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
$3.64 / $3.64 / $3.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.63 / $1.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.63 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.75