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South Carolina rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.13 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $22.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.98 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $13.49 / $20.42