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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
$37.15 / $54.95 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.91 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.89 / $0.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.46 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.51 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.56 / $0.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.45 / $1.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $6.17 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.91