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Pennsylvania 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 / $3.84 / $126.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.63 / $4.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.70 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $6.36 / $42.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.86 / $25.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.80 / $4.99
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $1.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.98 / $2.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $1.98 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.87