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Washington, DC rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $28.18 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.13 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $14.45