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South Carolina rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $46.77 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.82 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $15.49 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.27 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.89 / $20.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.31 / $10.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.69 / $3.09