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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
$9.34 / $9.40 / $29.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.34 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $20.17 / $38.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.23 / $9.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $9.07 / $9.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $11.75 / $26.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.34 / $10.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $10.43 / $10.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $8.03 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.61