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South Carolina rates for HCPCS J9042

Brentuximab Vedotin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.15 / $1,097.43 / $29,474.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $258.64 / $312.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $258.52 / $258.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $153.47 / $272.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $289.01 / $346.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $258.64 / $298.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $268.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.99 / $213.80 / $360.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.99 / $98.99 / $343.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.91 / $260.53 / $620.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.84 / $274.16 / $300.02