go back

South Carolina rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $67.84 / $318.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $85.54 / $121.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.57 / $72.59 / $78.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $89.18 / $110.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $67.84 / $166.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62