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Missouri 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
$106.82 / $124.61 / $169.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $107.87 / $130.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.73 / $178.04 / $376.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $130.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.80 / $104.73 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.95 / $117.05 / $502.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.21 / $104.95 / $120.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $104.73 / $121.17