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South Carolina rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $3.09 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.29 / $1.29
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 / $0.81 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.83 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $0.81