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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
$6.71 / $11.10 / $1,042.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $8.89 / $11.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $15.97 / $16.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $5.53 / $9.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $10.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $10.79 / $11.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $14.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00