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California rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $23.73 / $259.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $2.09 / $7.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.49 / $0.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.48 / $2.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.03 / $1.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $1.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.52 / $1.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $123.74 / $123.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.55 / $8.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.47 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $1.11