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South Carolina rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $5.74 / $22.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.74 / $5.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $5.92 / $10.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.36 / $7.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $6.36 / $13.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $8.66 / $8.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.79 / $6.08