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South Carolina rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $10,715.19 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,951.21 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,570.40 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,801.89 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $2,951.21 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,311.31