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South 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
$19.07 / $203.86 / $280.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $19.07 / $22.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.59 / $97.86 / $172.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $31.25 / $34.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $25.76 / $73.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17