go back

South Carolina rates for HCPCS J3265

Injection Torsemide 10 Mg/Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $4.09 / $4.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.84 / $3.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.58 / $3.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57