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Virginia rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $34.40 / $146.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.90 / $4.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.71 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.52 / $15.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $1.40 / $16.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.52 / $1.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.52 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.54