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Maryland rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $8.18 / $64.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.49 / $2.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $14.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45