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South Carolina rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Facilitymedian $5 · 10th–90th $2–$90%20%40%10th90th$5Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$5.0$10.0$20.0

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
$2.00 / $7.94 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.89 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.57 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.63