go back

North Carolina rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $22.35 / $97.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.97 / $6.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.86 / $2.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $1.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $1.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $1.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $123.74