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Oklahoma 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 / $9.55 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.17 / $6.92
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 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.77 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.12 / $9.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $8.91