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Minnesota 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
$104.73 / $104.73 / $209.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $241.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.37 / $120.44 / $211.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.96 / $104.95 / $104.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.70 / $326.44 / $397.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $120.25 / $130.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.62 / $297.89 / $373.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $102.38 / $139.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.95 / $104.95 / $177.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.95 / $104.95 / $144.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $188.51