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South Carolina rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.52 / $51.52 / $208.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $51.52 / $60.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.66 / $87.10 / $157.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $71.52 / $87.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.04 / $84.30 / $137.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.16 / $67.66 / $87.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $69.00 / $69.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $65.66 / $82.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $77.48 / $84.05