go back

Arkansas rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $9.77 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.14 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $38.90 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $14.13