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Kentucky rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $37.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.62 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $7.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.01 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79