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New Hampshire 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
$104.95 / $117.54 / $209.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.83 / $188.51 / $475.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.95
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.88 / $170.08 / $323.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $100.64 / $128.09