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West Virginia 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
$0.71 / $13.28 / $44.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.59 / $2.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $2.36 / $2.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.57 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $7.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.88