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South Carolina rates for HCPCS J0278

Amikacin Sulfate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $141.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.96 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.52 / $1.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.32 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.89 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63