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South Carolina rates for HCPCS J0720

Injection Chloramphenicol Sodium Succinate Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $47.87 / $193.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.27 / $47.87 / $66.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.42 / $28.76 / $67.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $58.38 / $70.06
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 / $49.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.51 / $47.87 / $64.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65