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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
$9.13 / $9.13 / $10.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.97 / $11.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $12.01 / $16.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $12.36 / $20.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $10.88 / $11.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07