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South Carolina rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.38 / $250.38 / $4,481.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.10 / $240.84 / $304.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.74 / $331.31 / $940.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $400.14 / $765.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $238.46 / $357.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $238.46 / $1,350.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $157.00 / $1,924.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.88 / $189.28 / $434.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.46 / $252.77 / $265.45