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Pennsylvania rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Facilitymedian $55 · 10th–90th $7$3890%5%10%10th90th$55Professionalmedian $4 · 10th–90th $4$130%50%90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $57.54 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $14.13
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $870.96 / $1,862.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.13 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $12.59 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.17 / $6.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $93.33
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $870.96 / $1,862.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.37 / $12.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.50 / $5.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.50 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $8.71