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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
$9.30 / $9.46 / $38.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $9.46 / $14.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $24.97 / $30.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.22 / $13.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $10.41 / $20.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.91