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North Carolina rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $18.07 / $99.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.16 / $12.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $14.62 / $17.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $4.98 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $8.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $5.69 / $9.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $6.11 / $6.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00