go back

South Carolina rates for HCPCS C9254

Injection Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $404.40 / $500.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.27 / $0.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.29 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00