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Pennsylvania rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $9 · 10th–90th $2–$4570%10%10th90th$9Professionalmedian $2 · 10th–90th $1–$70%10%10th90th$2$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2.82 / $8.91 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $2.14 / $6.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.50 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $1.51 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.76 / $0.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $13.18 / $151.36
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.71
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.49
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.29 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.26 / $141.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.62 / $0.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.62 / $0.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.83