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South Carolina rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Facilitymedian $62 · 10th–90th $16$690%20%40%10th90th$62Professionalmedian $17 · 10th–90th $16$240%50%10th90th$17$10.0$20.0$50.0

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
$15.85 / $61.66 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $6.92
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $22.91