go back

New Hampshire 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
$1.57 / $1.64 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.36 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $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
$2.13 / $2.61 / $4.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.05 / $6.96