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Tennessee rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $8.53 / $107.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.99 / $39.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $123.74 / $123.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $13.29