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Virginia 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 / $10.46 / $20.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.52 / $9.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $19.14 / $30.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $12.82 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $10.46 / $10.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $10.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $9.07 / $11.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.07 / $11.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $13.27 / $21.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $9.07 / $10.46