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New Jersey rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $8.36 / $48.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.47
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2.68 / $330.60
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.62 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.53