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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
$7.94 / $16.60 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $17.78 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $15.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.13 / $21.38
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.91 / $10.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $9.33 / $13.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.33 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.91 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.91 / $10.47