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Idaho rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $38 · 10th–90th $3–$1290%10%10th90th$38Professionalmedian $2 · 10th–90th $1–$110%10%20%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $38.02 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $2.51 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.74 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.52 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.49 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $18.20 / $208.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $1.70 / $11.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.74