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South Carolina rates for HCPCS J1180

Injection Dyphylline Up To 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $7.78 / $31.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $8.07 / $8.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $7.33 / $8.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $6.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $8.56 / $12.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49