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South Carolina rates for HCPCS J9118

Injection Calaspargase Pegol-Mknl 10 Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.18 / $86,201.45 / $86,201.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $82.08 / $86.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.53 / $81.66 / $94.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $88.27 / $107.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.95 / $82.08 / $132.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $72.95 / $97.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $80.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $87.00 / $95.65