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South Carolina rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $63.10 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $3.80 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $37.15 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $31.62 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.46 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.89 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.62