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Idaho 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 / $8.91 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.02 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.72 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.02 / $19.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $11.22
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91