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New Hampshire rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $7 · 10th–90th $1–$810%10%10th90th$7Professionalmedian $1 · 10th–90th $0–$110%20%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
$3.24 / $7.76 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $2.82 / $22.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.89 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.85 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.76 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.85