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South Carolina rates for HCPCS J1990

Chlordiazepoxide Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $21.57 / $87.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $22.36 / $22.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.43 / $29.90 / $32.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $23.66 / $28.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $23.73 / $33.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05