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California rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $23.44 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.79 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.62 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.01 / $16.22
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.92 / $10.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.76 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.25 / $12.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $6.76 / $10.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $7.76
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.89 / $6.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $12.30