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South Carolina rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.42 / $425.42 / $1,638.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.81 / $425.42 / $440.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.69 / $382.50 / $605.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.50 / $278.95 / $553.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.50 / $256.50 / $256.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00