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Hawaii rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.72 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.77 / $13.49