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South Carolina rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $3.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.98 / $0.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.82 / $3.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.23 / $2.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.08 / $1.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.37 / $237.37 / $237.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.67