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South Carolina rates for HCPCS J2515

Injection Pentobarbital Sodium Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.97 / $51.97 / $210.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $53.88 / $72.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $195.82 / $338.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $50.40 / $60.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $51.97 / $70.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.41 / $111.41 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82