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Oregon 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 / $13.18 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.48 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $19.50 / $22.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.55 / $17.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.55 / $11.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $11.22 / $18.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.48 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.77 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $13.18 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91