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New Hampshire rates for HCPCS J0714

Injection, ceftazidime and avibactam, 0.5 g/0.125 g

Facilitymedian $170 · 10th–90th $105–$4070%10%10th90th$170Professionalmedian $105 · 10th–90th $105–$1950%50%90th$105$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $117.49 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $275.42 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $208.93 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $104.71 / $158.49