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Delaware rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $12.28 / $136.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $11.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $7.97 / $97.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $7.17 / $10.65