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Pennsylvania 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 / $21.36 / $27.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $17.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $9.84 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $9.41 / $9.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $15.58 / $27.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.22 / $27.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $9.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.56 / $7.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $7.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $15.63