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New Mexico 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
$104.73 / $163.62 / $163.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $133.01 / $241.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.30 / $415.43 / $676.94
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 / $104.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.58 / $104.73 / $104.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73