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South Carolina rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.58 / $341.58 / $1,381.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.58 / $354.08 / $354.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.93 / $438.41 / $799.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.57 / $416.56 / $499.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.38 / $341.58 / $461.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $357.54