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North Carolina 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
$90.84 / $105.92 / $178.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.84 / $97.94 / $127.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.24 / $234.28 / $268.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.02 / $86.02 / $104.95
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 / $124.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $124.63 / $137.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $81.23 / $81.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $136.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.31 / $139.31 / $523.65