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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
$275.42 / $354.81 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $229.09 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $263.03 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $281.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $275.42 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $263.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $295.12