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South Carolina rates for HCPCS J0641

Levoleucovorin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $3.28 / $6.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.33 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.07