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South Carolina rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.87 / $39.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.87 / $1.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $1.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.70 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.87 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83