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Utah rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $58 · 10th–90th $22–$1550%10%10th90th$58Professionalmedian $3 · 10th–90th $1–$70%20%10th90th$3$0.5$2.0$10.0$50.0$200.0$1.0K

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
$21.88 / $58.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $3.39 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.71 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.43 / $0.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.46