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Arkansas rates for HCPCS J0695

Injection Ceftolozane 50 Mg And Tazobactam 25 Mg (Reinstated 01/01/2016) Injection Cefonicid Sodium 1 Gram (Del 12/31/01)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $10.88 / $10.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $10.88 / $10.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $9.90 / $9.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $9.90 / $9.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $9.07 / $9.07