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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
$9.13 / $10.03 / $18.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $17.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $11.54 / $16.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $19.89 / $23.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $12.97 / $19.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.61 / $11.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $11.34 / $18.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $11.54 / $19.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $9.83 / $10.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $12.18 / $24.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07