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Virginia rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $28 · 10th–90th $5–$1410%10%10th90th$28Professionalmedian $2 · 10th–90th $0–$80%10%20%10th90th$2$0.2$1.0$5.0$20.0$100.0$500.0

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
$5.75 / $28.84 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $2.29 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.72
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.74 / $1.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.81 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.46 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $1.41 / $16.98
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.52 / $1.32
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.52 / $1.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.46 / $0.62