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Nebraska rates for HCPCS J0714

Ceftazidime And Avibactam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.95 / $201.30 / $231.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $241.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $112.64 / $118.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.64 / $117.38 / $118.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $112.00 / $112.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $104.73 / $127.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.45 / $104.95 / $502.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $104.95 / $115.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.80 / $151.10 / $201.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.74 / $125.94 / $234.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.49 / $104.73 / $115.20