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North Carolina rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.72 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.91 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.13 / $10.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $13.18 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $11.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $100.00