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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
$8.30 / $11.61 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.97 / $11.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $12.36 / $23.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $9.07 / $10.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $19.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $11.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $11.34 / $18.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $11.79 / $20.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.84 / $9.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $9.77 / $18.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $13.27 / $13.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07