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South Carolina rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $73.84 / $414.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.68 / $13.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $77.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $17.38 / $87.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $1.36
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 / $0.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.61 / $20.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43