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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
$8.30 / $16.80 / $59.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $16.86 / $21.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.11 / $24.11 / $24.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $29.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.33 / $20.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.43 / $19.04 / $31.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $13.61 / $18.30