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Iowa rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $14.36 / $138.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $3.00 / $10.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.56 / $0.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.78 / $15.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $3.36 / $15.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.59 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.69 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48