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Alaska rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $26.92 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $28.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.79 / $22.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.77 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $18.20