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North Carolina rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.53 / $4.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.96 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.31 / $2.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.96 / $1.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00