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South Carolina rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $7.08 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $7.24 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.72 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.29 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $8.32