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Kentucky rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $12.69 / $145.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.43 / $0.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.51 / $0.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.43 / $0.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.47 / $0.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.60 / $16.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43