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Kansas rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $30.25 / $166.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $1.28 / $4.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.69 / $4.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $1.05 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.73