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North Carolina rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Facilitymedian $19 · 10th–90th $17–$240%20%40%10th90th$19Professionalmedian $17 · 10th–90th $16–$210%50%10th90th$17$20.0$50.0$100.0

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
$16.98 / $18.62 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $19.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.78 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36