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Texas 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 / $15.86 / $36.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.16 / $12.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $14.43 / $28.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $8.98 / $8.98
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $12.97 / $13.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $9.07 / $16.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.07 / $13.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $9.07 / $14.75
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $12.24