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South Carolina rates for HCPCS J0224

Oxlumo SC SOLN 94.5 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.50 / $345.50 / $1,397.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $345.50 / $345.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.74 / $384.14 / $604.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $381.58 / $449.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $329.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.50 / $381.58 / $807.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.97 / $528.97 / $528.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05