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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
$9.16 / $19.75 / $41.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $9.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $18.14 / $24.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $9.07 / $12.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $9.07 / $22.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $16.07 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.12