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Kentucky rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $15.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $10.69 / $18.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $9.07 / $9.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.84 / $14.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.98 / $13.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $9.07 / $15.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.13