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South Carolina rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $82.17 / $135.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.83 / $2.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.01 / $1.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.66 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.83 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75