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South Carolina rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $20.89 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $181.97 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.41 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.41 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.88 / $14.79