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South Carolina rates for HCPCS J0780

Prochlorperazine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $35.71 / $95.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $13.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.51 / $18.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $4.24 / $5.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $4.11 / $10.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.65 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $3.80 / $10.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.92 / $2.02