go back

New York 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 / $12.02 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $12.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.92
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.51 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $38.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.96 / $30.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $12.02
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $12.59
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $10.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.33 / $24.55