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Virginia rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $50.74 / $150.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.98 / $10.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.74 / $10.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $12.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.78 / $7.97
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.78 / $7.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.78 / $6.00