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North Dakota 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 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.77 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.59 / $15.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.12 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.91 / $10.00