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California 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
$9.07 / $18.26 / $21.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $17.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $14.49 / $32.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.13 / $20.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $9.32 / $18.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $9.24 / $23.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $10.88 / $20.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $12.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $19.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $18.64