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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
$9.12 / $14.79 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.13 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.55 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $9.55