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South Carolina rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.57 / $6.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $7.34 / $8.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.81 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $5.44 / $5.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $5.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73