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Oklahoma rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $19.69 / $83.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
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 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $2.00 / $22.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.48 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.43