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Michigan rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $17.78 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $19.95 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $23.99 / $28.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $12.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.91 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.55