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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
$11.48 / $13.49 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.72 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $9.77 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $10.23