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Iowa rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.47 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.79 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.12 / $12.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.12 / $12.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $10.47
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 / $9.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12