go back

Utah 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
$121.49 / $121.49 / $121.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.49 / $121.49 / $121.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.84 / $139.58 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.68 / $202.40 / $290.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.49 / $104.73 / $104.73