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Indiana 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
$105.78 / $241.39 / $477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $105.78 / $105.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $209.46 / $277.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $104.73 / $148.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $104.73 / $157.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $130.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $104.73 / $276.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $129.87