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Michigan 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
$107.87 / $108.10 / $337.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $107.87 / $126.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.46 / $233.21 / $441.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $106.70 / $106.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $104.73 / $104.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $135.13 / $300.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $107.87 / $125.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.57 / $120.43 / $120.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $111.11