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Illinois 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 / $15.14 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $30.20 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.49 / $100.00
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
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.12 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.33