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Vermont rates for HCPCS J0696

Ceftriaxone Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.14 / $89.14 / $96.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.47 / $0.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.56 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.56 / $0.93
MVP Health Care
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 / $13.29