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Ohio rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $7.26 / $75.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $2.04 / $7.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.01 / $2.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.85
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.48 / $0.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.48 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $2.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $3.33 / $13.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $14.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.60 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.60