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Minnesota rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $50.34 / $197.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $2.00 / $6.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.94 / $1.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.43 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.56 / $0.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.31 / $1.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.53 / $0.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $6.10 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.78