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Connecticut 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
$108.92 / $163.93 / $292.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.92 / $108.92 / $108.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.55 / $159.21 / $314.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.68 / $113.62 / $131.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $104.73 / $116.25