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North Carolina rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $501.19 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $851.14 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $457.09 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $741.31 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96