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South Carolina rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.59 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $25.12 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.02 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $9.33