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South Carolina rates for HCPCS J7638

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.13 / $0.13