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South Carolina rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $7.67 / $31.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $9.60 / $12.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.06 / $19.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $16.47 / $20.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $10.35 / $28.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $8.03