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Washington 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 / $15.49 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $10.47 / $14.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.55 / $20.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.55 / $10.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $9.77 / $23.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.75