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Maine rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.88 / $87.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.45 / $0.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
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
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.80 / $98.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.45 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.75