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South Carolina rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $46.77 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $7.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $21.88 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $4.07 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.31 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.47 / $4.68