go back

South Carolina rates for HCPCS J2460

Oxytetracycline Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $3.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.94 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.59 / $2.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.94 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.99 / $1.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94