go back

North Carolina rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $40.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $30.16 / $35.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $31.97 / $39.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $39.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00