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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
$9.13 / $9.13 / $20.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.13 / $17.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.75 / $10.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $10.16 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $9.07 / $10.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $9.13 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $9.13 / $10.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $12.16 / $16.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $9.65 / $15.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.32 / $9.81 / $21.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $9.07 / $9.98