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Colorado rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $25.58 / $591.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $1.84 / $4.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.77 / $1.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.72 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.47 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43