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South Carolina rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.33 / $208.29 / $392.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.17 / $29.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.70 / $40.39 / $46.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $29.34 / $39.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $23.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $38.56 / $319.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $201.00 / $318.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $23.48 / $55.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $22.82 / $28.63