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Ohio rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $21.88 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $10.23 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.37 / $8.91
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
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 / $11.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $11.48 / $52.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $11.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.89 / $6.92
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $6.03 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.17