go back

South Carolina rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.62 / $453.62 / $1,853.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.76 / $453.62 / $544.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.01 / $210.66 / $501.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $503.76 / $590.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.50 / $453.62 / $932.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.71 / $724.71 / $724.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $449.30