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Georgia rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $26.08 / $216.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $1.80 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.47 / $0.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $9.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.84
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
$0.50 / $16.03 / $16.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $14.02