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South Carolina rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $50.12 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $36.31 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $21.88 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $41.69 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $40.74