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New Mexico 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 / $14.23 / $14.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $11.51 / $17.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $2.31 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $9.07 / $9.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $8.03 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07