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North Carolina rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $25.12 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $12.30 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.57 / $3.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.63 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00