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North Carolina rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.29 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $1.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.96 / $4.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.87 / $1.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $100.00 / $158.25