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South Carolina rates for HCPCS J0600

Injection Edetate Calcium Disodium Up To 1000 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.40 / $6,728.79 / $27,400.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,708.59 / $6,728.79 / $10,456.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.73 / $367.26 / $7,107.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.20 / $917.31 / $7,711.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,045.64 / $6,408.38 / $6,408.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.27 / $6,728.79 / $9,083.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,990.03 / $9,990.03 / $9,990.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $7,049.22