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South Carolina rates for HCPCS J9153

Injection Liposomal 1 Mg Daunorubicin And 2.27 Mg Cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.89 / $268.89 / $1,082.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.14 / $256.08 / $268.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.50 / $235.95 / $397.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $284.48 / $345.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $256.08 / $298.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $265.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.32 / $256.08 / $406.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.32 / $190.32 / $363.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.47 / $268.89 / $637.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.68 / $271.45 / $332.92