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South Carolina rates for HCPCS J7636

Atropine, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.57 / $0.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.12