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Arizona rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $12 · 10th–90th $2–$850%5%10th90th$12Professionalmedian $2 · 10th–90th $1–$80%10%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K

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
$2.75 / $18.62 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $2.29 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $1.55 / $2.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.87 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.71 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $1.74 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.81 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.49