go back

Washington, DC rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $16.01 / $91.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $6.98 / $11.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.78 / $7.75