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Alaska rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $33 · 10th–90th $0–$5370%10%20%10th90th$33Professionalmedian $3 · 10th–90th $1–$110%20%10th90th$3$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$7.59 / $43.65 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $2.82 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $1.38 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $1.07 / $14.45
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $3.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.69 / $194.98