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North Carolina rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $83 · 10th–90th $65–$4070%10%20%10th90th$83Professionalmedian $63 · 10th–90th $58–$1230%20%40%10th90th$63$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $104.71 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $75.86
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $724.44