go back

California rates for HCPCS J0694

Injection Cefoxitin Sodium 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $53.90 / $375.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $33.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.50 / $6.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.13 / $14.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $7.13 / $11.52
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $14.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.74 / $12.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $6.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $10.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $13.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.26 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $17.71