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Missouri rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.47 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.55 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.00 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.12 / $10.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.77 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.23