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South Carolina rates for HCPCS J0695

Injection Ceftolozane 50 Mg And Tazobactam 25 Mg (Reinstated 01/01/2016) Injection Cefonicid Sodium 1 Gram (Del 12/31/01)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $9.52 / $38.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $9.52 / $14.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.63 / $10.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.46 / $12.06
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $10.47 / $20.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $8.23 / $11.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $8.03 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07