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South Carolina 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 / $12.59 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.61 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.47 / $23.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.91 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $9.77