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South Carolina rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.91 / $69.30 / $277.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $66.65 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.90 / $57.98 / $95.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $78.97 / $93.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $66.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $70.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $66.00 / $105.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $39.47 / $100.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $68.54 / $84.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $69.95 / $80.79