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Wisconsin rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $42 · 10th–90th $6–$1170%5%10%10th90th$42Professionalmedian $3 · 10th–90th $1–$150%5%10th90th$3$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
$7.41 / $43.65 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $3.47 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.07 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.62 / $0.85
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.85 / $0.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $6.76 / $26.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $1.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.51 / $1.12
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $1.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.69