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Texas rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $20 · 10th–90th $4–$2040%5%10%10th90th$20Professionalmedian $2 · 10th–90th $1–$710%10%10th90th$2$0.2$2.0$20.0$200.0$2.0K

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
$4.68 / $22.39 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $2.29 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $6.03 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.26
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $32.36 / $295.12
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.50 / $10.72
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $1.05 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $26.92 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.14 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.66 / $2.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.81 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.49