go back

Arizona rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.60 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $23.44 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $16.98 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.02 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.12 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $8.91