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Indiana rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $12.12 / $72.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $6.40 / $67.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.86 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.43 / $0.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.73