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Wyoming 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 / $104.95 / $104.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.92 / $124.61 / $124.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.80 / $98.80 / $98.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $148.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.73 / $104.73 / $104.73