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Pennsylvania rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Facilitymedian $17 · 10th–90th $9–$270%10%20%10th90th$17Professionalmedian $9 · 10th–90th $8–$130%50%10th90th$9$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $12.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.77 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $15.49
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.49 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.59 / $10.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.59 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $12.30