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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
$9.12 / $10.00 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.75 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.12 / $13.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.12 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.47