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South Carolina rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $24.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.92 / $9.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $7.98 / $12.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.05 / $8.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.51 / $14.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64