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South Carolina rates for HCPCS J9017

Arsenic Trioxide IV SOLN 10 MG/10ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.56 / $8.56 / $84.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.23 / $13.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $56.62 / $94.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $8.15 / $30.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.69 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $41.00 / $60.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $22.42 / $41.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.02 / $6.23 / $20.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $8.64 / $9.50