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Tennessee 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 / $8.91 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.51 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91