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South Carolina rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.25 / $138.25 / $558.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.25 / $138.25 / $143.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $7.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.25 / $165.90 / $186.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $154.55