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Michigan 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
$1.62 / $2.11 / $13.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.62 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $3.63 / $6.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.25 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $2.91 / $5.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.62 / $1.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.84 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.67