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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
$9.13 / $9.13 / $9.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $10.46 / $10.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $8.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $12.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $17.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07