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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
$5.62 / $46.77 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $7.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.79 / $10.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $12.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.75 / $7.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.75 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.79 / $5.89