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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
$9.07 / $11.87 / $19.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $9.81 / $17.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07