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South Carolina rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $110.82 / $248.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.58 / $4.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.90 / $7.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.70 / $6.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $6.07 / $14.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.00 / $14.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.90 / $11.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.66 / $5.08