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Arizona 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
$112.06 / $209.46 / $314.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.20 / $126.99 / $241.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.56 / $359.98 / $572.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $101.59 / $666.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.80 / $104.73 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.74 / $133.68 / $165.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.95 / $104.95 / $104.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73