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North Dakota rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $27.10 / $98.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.47 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.53 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $5.37 / $12.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.43 / $0.47