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Missouri rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $22 · 10th–90th $3–$930%5%10%10th90th$22Professionalmedian $2 · 10th–90th $1–$190%10%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $23.99 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.51 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.45 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.79 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $1.86 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.48 / $0.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.66 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.46 / $0.59