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Louisiana rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $18.96 / $134.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.50 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $11.72 / $13.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.90