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Minnesota 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 / $18.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $17.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.72 / $15.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $8.48 / $9.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $26.64 / $32.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $9.81 / $10.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.35 / $24.31 / $30.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.21 / $11.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $9.13 / $15.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $9.13 / $12.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $16.32