go back

Vermont rates for HCPCS J0695

Injection, ceftolozane 50 mg and tazobactam 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $15.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.10 / $15.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $9.10 / $15.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $9.07 / $13.95