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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
$9.07 / $25.75 / $34.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $12.82 / $21.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $9.07 / $14.70