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Missouri rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $13.39 / $89.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $1.60 / $12.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.47 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.85 / $123.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.48 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.43 / $0.54