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South Carolina rates for HCPCS J9211

Idarubicin Hydrochloride 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $38.50 / $157.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $37.77 / $44.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $98.57 / $185.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $37.35 / $52.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.59 / $34.59 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $46.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $72.91 / $514.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.32 / $269.00 / $462.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $45.68 / $92.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $38.86 / $44.00