go back

Maryland rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $9.13 / $9.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $9.06 / $9.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $13.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15