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North Carolina rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.25 / $54.55 / $54.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $54.55 / $54.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.34 / $83.33 / $88.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.91 / $50.91 / $59.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $64.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $57.82 / $70.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $27.39 / $27.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $56.42 / $73.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $299.05