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South Carolina rates for HCPCS J9100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $43.01 / $64.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.86 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.95 / $1.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.05 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.48 / $8.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $4.00 / $9.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.05 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.88 / $1.00