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New Hampshire 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 / $10.00 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $23.44 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.79 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $13.80