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South Carolina rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $32.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.24 / $12.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.37 / $7.21 / $11.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $13.45 / $17.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $6.44 / $21.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14