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South Carolina rates for HCPCS J0694

Injection Cefoxitin Sodium 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $58.35 / $180.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.01 / $5.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $15.52 / $103.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.78 / $7.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.23 / $14.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78