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Maine 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
$242.97 / $242.97 / $261.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.92 / $126.99 / $126.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.35 / $127.22 / $331.89
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $126.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.97 / $242.97 / $261.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.92 / $126.99 / $261.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $151.86