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South Carolina rates for HCPCS J1790

Injection Droperidol Up To 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.40 / $48.31 / $98.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $7.63 / $9.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $9.65 / $9.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $5.77 / $60.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.23 / $12.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $5.00 / $12.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $7.92 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $7.63 / $8.57