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Montana rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $24 · 10th–90th $0–$3020%5%10th90th$24Professionalmedian $2 · 10th–90th $1–$50%10%10th90th$2$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$9.55 / $38.02 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $2.00 / $4.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $4.07 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.49 / $1.45
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.49 / $1.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $1.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.46