go back

South Carolina rates for HCPCS C9090

Plasminogen, Human-Tvmh 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $30.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00