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North Carolina rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $50.12 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $47.86 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $74.13 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $58.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $95.50 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $63.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17