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Massachusetts rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $6.01 / $41.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $2.65 / $93.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.32 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $13.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.55 / $1.18
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 / $0.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.91
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $4.09 / $209.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $123.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $13.29
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.94 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $13.29