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Connecticut rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $5.07 / $12.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.72 / $1.57
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
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $2.68 / $5.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $14.39