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South Carolina rates for HCPCS J2440

Injection Papaverine Hcl Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $36.90 / $149.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $38.25 / $47.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.74 / $1.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $27.36 / $32.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $40.59 / $49.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $37.11 / $46.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50