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Indiana 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 / $19.95 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $13.49 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $17.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $13.49 / $18.20
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 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.47