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North Carolina rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.23 / $31.88 / $51.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $29.03 / $41.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $54.84 / $67.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $22.36 / $34.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $38.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.03 / $40.67 / $41.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $54.57 / $56.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $44.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $170.90