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Arizona 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
$9.30 / $18.14 / $27.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $11.05 / $17.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $30.05 / $47.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $7.78 / $57.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $12.05 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $9.13 / $9.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $8.03 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07