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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
$1,097.41 / $1,097.41 / $5,953.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.19 / $1,097.41 / $1,691.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.01 / $1,631.02 / $2,668.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,536.48 / $1,729.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.41 / $1,316.89 / $2,641.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.29 / $1,789.29 / $1,789.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.55 / $1,043.55 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15