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Texas 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 / $3.35 / $110.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.59 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $3.95 / $8.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.71
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.25 / $5.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.57 / $2.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $2.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.57 / $2.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.65 / $2.12