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Wyoming rates for HCPCS J0696

Injection, ceftriaxone sodium, per 250 mg

Facilitymedian $66 · 10th–90th $15–$2630%10%10th90th$66Professionalmedian $3 · 10th–90th $1–$220%10%20%10th90th$3$0.5$2.0$10.0$50.0$200.0$1.0K

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
$15.49 / $66.07 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $10.72 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.62 / $0.62
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
$0.46 / $0.46 / $0.49