go back

New Jersey 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 / $12.87 / $25.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $9.02 / $9.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $21.29 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $9.13 / $9.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $8.03 / $21.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $10.46