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Delaware rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $17.10 / $143.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.92 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.52 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.65 / $15.33