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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
$9.07 / $9.07 / $16.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $9.89 / $10.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.86 / $9.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.28 / $10.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $9.13 / $15.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.13 / $9.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $9.07 / $9.85