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Nebraska rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.88 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.00 / $10.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.77 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $11.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.47 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.12 / $10.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.30 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.91 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $10.47