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North Carolina rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $14.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $11.05 / $12.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $13.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.71 / $14.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $12.35 / $12.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $16.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00