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Alabama rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $29.51 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $2.88 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $42.66 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $2.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.49