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Connecticut rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $14.22 / $25.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $9.43 / $9.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.08 / $13.79 / $27.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $9.84 / $11.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $9.07 / $9.61