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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
$32.90 / $40.27 / $70.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.27 / $40.27 / $61.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.60 / $73.73 / $90.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $39.40 / $51.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $58.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.27 / $42.69 / $64.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.35 / $15.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $63.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $206.30