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South Carolina rates for HCPCS J0360

Injection Hydralazine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $82.84 / $173.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.88 / $8.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $20.73 / $65.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.41 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.28 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $6.47 / $21.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60