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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
$9.07 / $9.07 / $18.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.43 / $10.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $27.77 / $86.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $9.07 / $11.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $11.57 / $24.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $9.07 / $18.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $95.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $9.07 / $13.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $9.07 / $12.70