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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
$8.91 / $16.22 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.49 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.72 / $30.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $9.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $9.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.88 / $28.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91