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South Carolina rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.39 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.29 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.95 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.82 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.40 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.63