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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
$190.55 / $776.25 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $77.62 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.00 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $3.09 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.18 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.19 / $2.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.13