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Louisiana 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 / $9.40 / $20.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.24 / $8.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $8.84 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $9.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $9.07 / $10.46