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South Carolina rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $264.88 / $551.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.25 / $32.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.73 / $40.43 / $145.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $3.13 / $10.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $13.10 / $144.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $143.00 / $143.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.41 / $8.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.32 / $4.07