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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
$9.13 / $10.46 / $14.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.34 / $11.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $15.42 / $32.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.66 / $9.96 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.13 / $10.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $10.77 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $9.07 / $10.25