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North Carolina rates for HCPCS J0945

Injection, brompheniramine maleate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.78 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.83 / $1.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $95.00 / $100.00