go back

Utah rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.12 / $56.02 / $99.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $3.30 / $7.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.68 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.43