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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
$9.07 / $19.68 / $28.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.22 / $22.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.80 / $15.84 / $26.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $15.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $15.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.73
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $11.33 / $13.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $9.81 / $9.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.71