go back

Vermont rates for HCPCS J0714

Injection, ceftazidime and avibactam, 0.5 g/0.125 g

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $112.20