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Ohio 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 / $15.14 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $16.60 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.77 / $15.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $12.59
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $12.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.22 / $12.88
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.79 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.55