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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
$7.94 / $7.94 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $11.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $12.30 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.71 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $28.18 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.72 / $11.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $26.92 / $31.62
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $16.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $16.22