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South Carolina rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.04 / $22.04 / $79.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $22.04 / $28.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $25.50 / $40.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $14.17 / $26.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.26 / $24.24 / $56.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $35.86 / $35.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99