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South Carolina rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $447 · 10th–90th $186–$1,7780%10%10th90th$447Professionalmedian $437 · 10th–90th $417–$5750%20%40%10th90th$437$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $436.52 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $229.09 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $489.78 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $549.54