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Illinois rates for HCPCS J0695

Injection Ceftolozane 50 Mg And Tazobactam 25 Mg (Reinstated 01/01/2016) Injection Cefonicid Sodium 1 Gram (Del 12/31/01)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $13.70 / $23.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.13 / $11.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.54 / $30.32 / $130.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $12.70 / $37.20
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.79 / $11.79 / $11.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $13.27 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.41