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South Carolina rates for HCPCS J1990

Injection, chlordiazepoxide HCl, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $77.62 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.20 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.70 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91