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North Carolina rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $40.20 / $201.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $22.89 / $47.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.18 / $69.94 / $86.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $17.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $39.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $22.89 / $42.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.58 / $112.58 / $112.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $23.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $125.81 / $128.49