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Hawaii rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $12.70 / $12.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $10.88 / $12.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.77 / $13.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $8.92 / $21.08