go back

Arkansas rates for HCPCS J0714

Injection, ceftazidime and avibactam, 0.5 g/0.125 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.69 / $125.68 / $125.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $125.68 / $125.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.86 / $113.86 / $113.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.29 / $113.86 / $113.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.94 / $104.73 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $105.92