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South Carolina rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $5,888.44 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $4,897.79 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $4,897.79