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Massachusetts rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $13.80 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $26.92 / $87.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $15.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $26.92 / $87.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.91 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $12.59