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Oregon rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $42.38 / $179.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.96 / $6.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.63 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $9.10 / $33.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.56 / $1.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.63 / $1.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.55 / $0.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43