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Missouri rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.24 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $12.81 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.24 / $5.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.24 / $5.59