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Nebraska rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $36.86 / $222.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $2.00 / $5.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.49 / $0.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.49 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $13.20 / $43.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.48 / $0.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.64 / $0.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.71 / $1.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.47