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South Carolina rates for HCPCS J1453

Injection Fosaprepitant 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $782.57 / $1,144.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $76.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $11.00 / $11.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $2.82 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.20 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $1.57 / $2.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $1.57 / $1.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.15 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.13