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Wyoming 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 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91