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Utah 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
$10.52 / $10.52 / $10.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $10.52 / $10.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $10.77 / $12.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $16.64 / $23.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $9.07 / $9.07