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Kansas rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $10.46 / $277.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.78 / $12.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $9.89 / $11.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $9.13 / $13.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.13 / $10.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $9.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $10.46