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South Carolina rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $42.66 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $41.69 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.16 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.98 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.24