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South Carolina rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $6.08 / $24.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.64 / $7.51 / $8.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.95 / $7.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $6.69 / $8.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76