go back

Washington, DC rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $7.33 / $146.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.71 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.70