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Tennessee 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 / $171.07 / $783.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $126.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.68 / $118.68 / $118.68
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.68 / $502.50 / $523.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $105.92