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South Carolina rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.53 / $2,551.39 / $10,361.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.38 / $2,440.69 / $2,562.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.00 / $2,596.16 / $4,193.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,974.42 / $3,432.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,429.89 / $2,896.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,636.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.82 / $2,429.89 / $4,059.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.82 / $1,743.82 / $3,726.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.69 / $2,470.18 / $5,879.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.41 / $2,575.67 / $3,191.88