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South Carolina rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.30 / $5.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.30 / $1.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $2.50 / $4.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.40 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.56 / $2.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40